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Is religion the forgotten variable in maternal and child health? Evidence from Zimbabwe

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  • Ha, Wei
  • Salama, Peter
  • Gwavuya, Stanley
  • Kanjala, Chifundo

Abstract

The Apostolic faith, a rapidly growing and increasingly influential force in Zimbabwe, has received attention in the literature due to its potential role in shaping its followers' attitudes and behaviours towards health. Existing literature, however, has only examined small cross-section samples from a few confined survey sites or has failed to adequately control for the many factors that may mediate the effects of religion. This paper examines the effects of the Apostolic faith on the usage of maternal health and child immunization services in Zimbabwe. It is based on a nationally representative sample from the 2009 Multi-Indicator Monitoring Survey and employs the established Andersen model on access to health services. Well controlled multivariate logit regression models derived from these data show that an affiliation with the Apostolic faith is a substantial and significant risk factor in reducing the utilization of both maternal and child health services. Moreover, even when the services were least costly and readily available and when gaps along other social and economic factors were limited, as in the case of Bacillus Calmette-Guérin vaccination and one visit to antenatal care, women and children from Apostolic faith families still fared significantly worse than others in accessing them.

Suggested Citation

  • Ha, Wei & Salama, Peter & Gwavuya, Stanley & Kanjala, Chifundo, 2014. "Is religion the forgotten variable in maternal and child health? Evidence from Zimbabwe," Social Science & Medicine, Elsevier, vol. 118(C), pages 80-88.
    • Handle: RePEc:eee:socmed:v:118:y:2014:i:c:p:80-88
    DOI: 10.1016/j.socscimed.2014.07.066
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    References listed on IDEAS

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    1. Gyimah, Stephen Obeng & Takyi, Baffour K. & Addai, Isaac, 2006. "Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana," Social Science & Medicine, Elsevier, vol. 62(12), pages 2930-2944, June.
    2. Sara Horrell & Pramila Krishnan, 2007. "Poverty and productivity in female-headed households in Zimbabwe," Journal of Development Studies, Taylor & Francis Journals, vol. 43(8), pages 1351-1380.
    3. WHO & UNICEF & UNFPA & World Bank & United Nations Population Division, 2014. "Trends in Maternal Mortality : 1990 to 2013," World Bank Publications - Books, The World Bank Group, number 18203, December.
    4. Glenn Hoetker, 2007. "The use of logit and probit models in strategic management research: Critical issues," Strategic Management Journal, Wiley Blackwell, vol. 28(4), pages 331-343, April.
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    Cited by:

    1. Olivia Nankinga & Betty Kwagala & Cyprian Misinde & Eddy J. Walakira, 2022. "Childcare Arrangements and Wellbeing of Children of Employed Women in Central Uganda," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 179-197, February.
    2. Olga Popova, 2016. "Suffer for the Faith? Parental Religiosity and Children’s Health," Working Papers 356, Leibniz Institut für Ost- und Südosteuropaforschung (Institute for East and Southeast European Studies).
    3. Samantha Rawlings & Zahra Siddique, 2020. "Domestic Violence and Child Mortality in the Developing World," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 82(4), pages 723-750, August.
    4. Elizabeth Brainerd & Nidhiya Menon, 2015. "Religion and Health in Early Childhood: Evidence from South Asia," Population and Development Review, The Population Council, Inc., vol. 41(3), pages 439-463, September.

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